Special Promotional: What you should know
Three Madison area experts answer our questions and share what you should know
Aaron Schwaab, M.D. Breast & General Surgeon
Q: What should patients know about advances in breast cancer diagnosis and treatment?
A: Breast cancer diagnosis and treatment have changed significantly over the past twenty or thirty years. It used to be that if a surgeon found cancer, the patient went right to surgery for a mastectomy. Now, we begin with a minimally invasive biopsy. Guided by mammogram and ultrasound, we can put a needle into a suspicious mass and extract tissue to get a diagnosis. Then, if we do find cancer, we’re able to step back, before surgery, and decide on the best course of treatment. There are different kinds of breast cancer, and it’s important to know which kind we’re treating. What diagnosis we make and when we make it will dictate the treatment.
Q: What about lymph node biopsy and removal?
A: If cancer is found in the breast, sentinel lymph node biopsy is part of the treatment. To determine whether cancer is in the lymph nodes, we remove just a couple of the nearby “sentinel” lymph nodes – the ones to which cancer cells would most likely spread. Removing as few lymph nodes as possible reduces the risk of lymphedema – swelling caused by an accumulation of lymph fluid.
Q: What should women know about oncoplastic surgery?
A: For women whose breast cancer is treated with a lumpectomy (removal of a tumor and surrounding breast tissue), it’s now acceptable to do the lumpectomy and a cosmetic procedure – such as breast reduction or a breast lift – at the same time, and have insurance cover it. Although we’re able to cure the majority of the breast cancers we see, this is a very traumatic time for most women. In some cases, women might even be happier with how their breasts look afterward; that can be a big psychological and emotional boost.
Q: For patients who do need a mastectomy, what should they know about breast reconstruction?
A: Breast reconstruction after mastectomy has been around for a long time, but women may not know that it’s advantageous to perform the procedure at the same time as the mastectomy, when the tissues are most amenable to a good reconstruction.
900 Ridge St., Stoughton, WI 53589
Breast Care Contact: 608.873.2266
Collision Masters of Wisconsin, Inc.
Q: What’s the best way to choose a body shop?
A: First, you should know who your body shop is before you have a loss. Find a certified shop that offers quality repairs with a lifetime warranty. It’s better to make that decision before you’re in the moment – under stress, waiting for a tow-truck to pick up your car, and you don’t know where it’s going.
Q: Why is it important for a shop to be certified?
A: Cars become more and more complex by the week. Even pick-up trucks are loaded with electronics and sophisticated instruments. Most vehicles today need to be scanned before they’re worked on, to diagnose possible problems that aren’t even visible. Manufacturers select shops that hold the Gold Class rating from I-Car, and then provide certification training that’s specific to their vehicles.
Q: Won’t my insurer recommend a body shop?
A: Your insurance company’s recommendation might not be in your best interest. Insurers may send you to shops in their direct repair program network, because they give the insurer a discount on labor and/or parts. Direct repair programs are not all alike; we participate in some that recognize quality repairs. But insurance companies commonly specify the use of non-original parts because they’re less expensive. A non-original part may not perform as well as an OEM part – one made by the original producer of the vehicle’s components.
Q: How can I make sure my vehicle is repaired only with OEM parts?
A: First, you can get an insurance policy with an Original Equipment Parts rider. And you can rely on a shop that refuses to use cheap after-market parts. At Collision Masters, we take the side of the customer and supply them with original OEM parts in every possible case.
Q: Can I go to a shop outside my insurer’s network?
A: Absolutely. It’s your car and it’s your choice where you get it repaired. No one can tell you where you must take your car – not your insurer, and not someone else’s insurer. And if you know up front that your car is going someplace you trust, you don’t have to worry about it. You have that peace of mind.
606 Cooper Road, Waunakee, WI 53589
One City Early Learning
Marlo Mielke, Vice President and Center Director
Q: Why is school readiness important for all children?
A: School readiness is critical because we our preparing our children to be lifelong learners. What a child learns and the environment they are in from birth to five helps prepare them for their future success. A child’s brain is like a sponge, and what they learn at an early age prepares their language, problem solving, social skills, as well as emotionally and behaviorally. A child from Kindergarten to Third grade is learning to read, going forward, a child is reading to learn. If a child is not reading at grade level by third grade, it can change their entire educational trajectory.
Q: What challenges do children in poverty face in becoming ready to learn?
A: Children in poverty may face challenges related to their early skills, behaviors and possibly their health. Other challenges can include preschool attendance or lack of quality early childhood education, parenting behaviors, parents’ education, and possible maternal depression. And parents in poverty may be under stress, which can stress the child and affect their focus and their school readiness. To address that, we take a two-generation approach to learning, because if we’re not looking at the family, we’re only serving that child temporarily. If a child’s parents are safe and secure, then they have resources to help their children. Many children miss the opportunity to experience quality early childhood programming due to the high cost of most programs.
Q: The name, “One City” suggests that all of Madison has a role here. What part can we play?
A: We’re in need of people who can help fund tuition scholarships, so we can bring more children in. We always have room for volunteers, both in the classroom and at the front desk. Some partners help families find housing or help parents who have lost jobs or are jobless. And we seek diversity. We made this school for everybody. We serve children from all over Madison, from very diverse backgrounds. The children we serve are our children, from our community and we’re all responsible for their quality, safe, fun and loving environment.
2012 Fisher Street, Madison, WI 53713
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